@miffed I forgot to welcome you to Mayo Clinic Connect; so welcome! Thank you so much for the information and explanation about ITP and NASH.
I have had some terrible experiences with morphine and steroids in the past, so I would only use opioids &/or steroids as a last resort. I don’t like the addictive properties of opioids and I agree with you about the “horrendous side effects” of steroids. I haven’t had the surgeries like you have had. I’ve had several abdominal surgeries. For those while in the hospital I used Dilaudid. Once home there was very minimal dose and limited duration of an opioid such as Percocet. I’m running out of suitable ideas from my own experience. I’m not one to give up and I like a challenge so here’s one more idea for you. Is there a reputable pain management clinic near you that you could access? Other than that perhaps other members will join this discussion with suggestions to consider?